Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age): Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age): Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1)†, and Accelerated Death Benefit for Terminal Illness or Condition N O N - T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted) N O N - T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted) Face $20,000 $40,000 $60,000 $80,000 $100,000 Face Amount Amount Issue Biweekly CV @ age 65 Biweekly CV @ age 65 Biweekly CV @ age 65 Biweekly CV @ age 65 Biweekly CV @ age 65 This section intentionally This section intentionally Issue Age Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ left blank. left blank. Age 18 $5.04 $7,034 $10.08 $14,068 $15.12 $21,102 $20.16 $28,136 $25.20 $35,170 18 19 5.04 6,997 10.08 13,993 15.12 20,990 20.16 27,986 25.20 34,983 19 20 5.04 6,957 10.08 13,914 15.12 20,872 20.16 27,829 25.20 34,786 20 21 5.04 6,916 10.08 13,832 15.12 20,748 20.16 27,664 25.20 34,580 21 22 5.04 6,873 10.08 13,745 15.12 20,618 20.16 27,490 25.20 34,363 22 23 5.04 6,827 10.08 13,653 15.12 20,480 20.16 27,306 25.20 34,133 23 24 5.04 6,778 10.08 13,557 15.12 20,335 20.16 27,114 25.20 33,892 24 25 5.04 6,727 10.08 13,455 15.12 20,182 20.16 26,910 25.20 33,637 25 26 6.32 6,674 12.64 13,348 18.96 20,021 25.26 26,695 31.58 33,369 26 27 6.32 6,617 12.64 13,234 18.96 19,850 25.26 26,467 31.58 33,084 27 28 6.32 6,557 12.64 13,114 18.96 19,670 25.26 26,227 31.58 32,784 28 29 6.32 6,494 12.64 12,988 18.96 19,481 25.26 25,975 31.58 32,469 29 30 6.32 6,427 12.64 12,855 18.96 19,282 25.26 25,710 31.58 32,137 30 31 8.14 6,357 16.26 12,715 24.38 19,072 32.50 25,430 40.62 31,787 31 32 8.14 6,284 16.26 12,568 24.38 18,851 32.50 25,135 40.62 31,419 32 33 8.14 6,207 16.26 12,414 24.38 18,620 32.50 24,827 40.62 31,034 33 34 8.14 6,126 16.26 12,252 24.38 18,379 32.50 24,505 40.62 30,631 34 35 8.14 6,042 16.26 12,085 24.38 18,127 32.50 24,170 40.62 30,212 35 36 10.72 5,955 21.42 11,910 32.14 17,866 42.84 23,821 53.54 29,776 36 37 10.72 5,864 21.42 11,729 32.14 17,593 42.84 23,458 53.54 29,322 37 38 10.72 5,769 21.42 11,539 32.14 17,308 42.84 23,078 53.54 28,847 38 39 10.72 5,670 21.42 11,340 32.14 17,010 42.84 22,680 53.54 28,350 39 40 10.72 5,565 21.42 11,130 32.14 16,694 42.84 22,259 53.54 27,824 40 41 14.16 5,454 28.34 10,907 42.50 16,361 56.66 21,814 70.82 27,268 41 42 14.16 5,336 28.34 10,672 42.50 16,007 56.66 21,343 70.82 26,679 42 43 14.16 5,211 28.34 10,422 42.50 15,632 56.66 20,843 70.82 26,054 43 44 14.16 5,078 28.34 10,156 42.50 15,233 56.66 20,311 70.82 25,389 44 45 14.16 4,936 28.34 9,873 42.50 14,809 56.66 19,746 70.82 24,682 45 46 19.10 4,786 38.18 9,572 57.26 14,359 76.34 19,145 95.44 23,931 46 47 19.10 4,626 38.18 9,253 57.26 13,879 76.34 18,506 95.44 23,132 47 48 19.10 4,456 38.18 8,913 57.26 13,369 76.34 17,826 95.44 22,282 48 49 19.10 4,276 38.18 8,552 57.26 12,827 76.34 17,103 95.44 21,379 49 50 19.10 4,084 38.18 8,167 57.26 12,251 76.34 16,334 95.44 20,418 50 This rate insert is for use with materials for accounts sitused in Indiana, and is not to be used on its own. ¹ CV @ age 65 or 10 years - Value shown is at attained age 65 or the end of year 10 if later, and assumes all premiums have been paid, no changes have been made to the certificate, and there is no certificate debt. EXCLUSIONS AND LIMITATIONS: Suicide Exclusion - If a covered person commits suicide, the death benefit may be limited to the premiums paid for that covered person. Pre-existing Condition Limitation - The Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1) rider may contain a pre-existing condition limitation. Other Exclusions and Limitations - The policy and riders (if included) have other elimination periods, exclusions and limitations that may affect coverage. Please refer to the certificate for details. Rates shown are based on Tobacco/Non-tobacco, Issue Age Banded rating structure. BIWEEKLY means 26 times per year. Age bands for rates are 0-17, 18-25, 26-30, 31-35, and so on in 5 year brackets up to 61-65, then separate rates for each individual age for ages 66, 67, 68, …, 80. This information is valid as long as information remains current, but in no event later than 12/31/2023. Group Whole Life Insurance benefits are provided under form GWLC, or state variations thereof. Rider benefits are provided under the following forms, or state variations thereof: Accelerated Death Benefit for Terminal Illness or Condition (GWPTI) and Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1). Allstate Benefits is the marketing name used by This is a brief overview of the benefits available under the group voluntary policy underwritten by American Heritage Life Insurance Company (Home Office, Jacksonville, FL). American Heritage Life Insurance Company (Home Details of the insurance, including exclusions, restrictions, and other provisions are included in the certificates issued. Office, Jacksonville, FL), a subsidiary of The Allstate For additional information, you may contact your Allstate Benefits Representative. Corporation. ©2022 Allstate Insurance Company. www.allstate.com or allstatebenefits.com HO Use Only: lhumm-20221011-8211-IN-TNTB- † Issue Ages 18-70 Only for Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1). B_STD_-FALSE-1033-FA-20000-100000-20000- PI:E-26x-TI:T-PWP:F-ADB:F-TYT:0-GWCLTCE:T- CT:F-ST:F-UWR Ratecard generated October 11, 2022 - 4:05 PM by ABQuote 09.28.2022. ABJ20743-14815 page 1 of 4 FOR AGENT USE ONLY GWLBIN 4 POD126436